ALM Emergency Application | jocatlanta.org

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SERVICES
KIDS SUMMER CAMP
YOUTH MENTOR-ATL

Application for Emergency Services. Please call Liaison.

First Name

Last Name

Email

What service did you need today? *

Emergency Shelter (Today ONLY)

Emergency Food (Today ONLY)

Are you a member of this church? *

YES

NO

Attending Membership Classes

If homeless, how long have you been homeless? *

Less than a week

Less than a month

3 months

6 months

1 year or more

Are you willing to be placed in an emergency shelter? *

YES

NO

Don't Know

Allow up to 1 hr for a response . Please call your Liaison. ALM Staff.

Main Campus: 937 Sims St. SW., Atlanta, GA 30310. Office: 470-851-5472

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